Provider Demographics
NPI:1790098028
Name:ROBINSON, BETH ANN (NIC ADVANCED)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NIC ADVANCED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 TACOMA AVE S APT 902
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-2570
Mailing Address - Country:US
Mailing Address - Phone:509-999-3420
Mailing Address - Fax:
Practice Address - Street 1:220 TACOMA AVE S
Practice Address - Street 2:APT 902
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-2570
Practice Address - Country:US
Practice Address - Phone:509-999-3420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601441110171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter